Mecp2 gene dup/delet variant at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$1,075.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,150.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$120.00 with United Healthcare vs $586.50 with Anthem — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | HMO | $120.00 | ↓ -89% |
| United Healthcare | Exchange | $120.00 | ↓ -89% |
| United Healthcare | Charter | $120.00 | ↓ -89% |
| United Healthcare | Nexus | $120.00 | ↓ -89% |
| Aurora Caregiver | Commercial | $150.00 | ↓ -86% |
| Anthem | Blue Priority | $150.00 | ↓ -86% |
| Anthem | Blue Preferred | $180.00 | ↓ -83% |
| Common Ground | Exchange | $315.00 | ↓ -71% |
| Common Ground | Employee Trust Fund | $315.00 | ↓ -71% |
| Everpointe Elite | Commercial | $322.65 | ↓ -70% |
| Common Ground | Envision | $327.90 | ↓ -69% |
| Centivo | Commercial | $327.90 | ↓ -69% |
| Aetna | HMO | $334.50 | ↓ -69% |
| Quartz One | Commercial | $375.00 | ↓ -65% |
| Health Payment Systems | Commercial | $375.00 | ↓ -65% |
| HealthPartners | Employee Trust Fund | $397.84 | ↓ -63% |
| Molina Exchange | Commercial | $414.00 | ↓ -61% |
| Health EOS Plus | Commercial | $414.00 | ↓ -61% |
| HS Technology | Commercial | $422.10 | ↓ -61% |
| Quartz Group | Commercial | $435.00 | ↓ -60% |
| Cigna | PPO-GPPO | $437.70 | ↓ -59% |
| Wisconsin Physician Service | Aurora Featured | $486.00 | ↓ -55% |
| HealthPartners | Robin | $509.23 | ↓ -53% |
| Wisconsin Physician Service | Statewide | $511.50 | ↓ -52% |
| Wisconsin Physician Service | Arise | $511.50 | ↓ -52% |
| HealthPartners | Broad | $517.50 | ↓ -52% |
| Trilogy | Commercial | $526.44 | ↓ -51% |
| Health EOS | PPO | $552.00 | ↓ -49% |
| Aetna | PPO | $569.94 | ↓ -47% |
| United Healthcare | PPO | $580.98 | ↓ -46% |
| Cigna | PPO | $583.74 | ↓ -46% |
| Anthem | PPO | $586.50 | ↓ -45% |
Visitor-reported prices
Comments
Mecp2 gene dup/delet variant at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $1,075.00 | $120.00 – $526.44 |
| Aurora Medical Center Summit | Summit | $1,075.00 | $120.00 – $526.44 |
| Aurora Baycare Medical Center | Green Bay | $1,075.00 | $120.00 – $526.44 |
| Aurora Medical Center Manitowoc | Two Rivers | $1,075.00 | $120.00 – $526.44 |
| Aurora West Allis Medical Center | West Allis | $1,075.00 | $120.00 – $526.44 |
| Aurora Medical Center Washington County | Hartford | $1,075.00 | $120.00 – $526.44 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $1,075.00 | $120.00 – $526.44 |
| Aurora Medical Center Sheboygan County | Sheboygan | $1,075.00 | $120.00 – $526.44 |